ELITE RESIDENTIAL, LLC
NPI 1760904338
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Mobile, AL

Active since July 14, 2017
1554 BASIL STREET, MOBILE, AL 36603(251) 652-3658(251) 415-2055 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 21, 2022, Jul 14, 2017 (2 updates tracked since 2017).

About Elite Residential, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ELITE RESIDENTIAL, LLC (NPI 1760904338) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Mobile, Alabama and active in the NPI registry since July 2017. The organization lists Ericka Letoindia Betton, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1760904338
Entity TypeOrganization
Primary Taxonomy320900000X
Legal Business NameELITE RESIDENTIAL, LLC
Location Address1554 BASIL STREETMobile, AL 36603
Mailing Address1554 Basil StMobile, AL 36603-5019 · (251) 652-3658 · Fax (251) 415-2055
Fax(251) 415-2055
Organization SubpartNo
Authorized OfficialEricka Letoindia BettonExecutive Director · (251) 367-8634
Enumeration DateJuly 14, 2017
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
NPI 1760904338 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Taxonomy Code320900000X
Definition

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.

Also ListedRespite CareTaxonomy 385H00000X
1554 BASIL STREET, Mobile, AL 36603

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Elite Residential, LLC's NPI number?

The NPI number for Elite Residential, LLC is 1760904338. It was assigned to this organization in the NPPES registry on July 14, 2017.

Where is Elite Residential, LLC located?

Elite Residential, LLC is located at 1554 Basil Street, Mobile, AL 36603. The listed phone number is (251) 652-3658.

What is Elite Residential, LLC's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

When was this NPI record last updated?

The NPPES record for Elite Residential, LLC was last updated on July 21, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.